CA2685968C - Etalonnage et compensation des erreurs de mesure de position - Google Patents

Etalonnage et compensation des erreurs de mesure de position Download PDF

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Publication number
CA2685968C
CA2685968C CA2685968A CA2685968A CA2685968C CA 2685968 C CA2685968 C CA 2685968C CA 2685968 A CA2685968 A CA 2685968A CA 2685968 A CA2685968 A CA 2685968A CA 2685968 C CA2685968 C CA 2685968C
Authority
CA
Canada
Prior art keywords
electrodes
electrode
ablator
patch
currents
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CA2685968A
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English (en)
Other versions
CA2685968A1 (fr
Inventor
Daniel Osadchy
Meir Bar-Tal
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Biosense Webster Inc
Original Assignee
Biosense Webster Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Biosense Webster Inc filed Critical Biosense Webster Inc
Publication of CA2685968A1 publication Critical patent/CA2685968A1/fr
Application granted granted Critical
Publication of CA2685968C publication Critical patent/CA2685968C/fr
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/06Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/06Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A61B5/061Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/063Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using impedance measurements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00725Calibration or performance testing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2051Electromagnetic tracking systems

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Human Computer Interaction (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Robotics (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Measurement Of Length, Angles, Or The Like Using Electric Or Magnetic Means (AREA)
  • Measurement Of Resistance Or Impedance (AREA)

Abstract

Des procédés et des systèmes permettant de détecter une position dun objet dans un corps consistent à positionner une sonde dans le corps, à prendre des mesures de mappage des courants électriques passant entre au moins une première électrode sur la sonde et une pluralité de deuxièmes électrodes sur une surface du corps, à étalonner les mesures de manière à compenser une ou plusieurs caractéristiques non idéales des mesures, notamment les effets du couplage électrique dépendant du système à un ou plusieurs dispositifs autres que la première et les deuxièmes électrodes, et à calculer la position de la sonde dans le corps au moyen des mesures étalonnées.
CA2685968A 2008-11-12 2009-11-12 Etalonnage et compensation des erreurs de mesure de position Expired - Fee Related CA2685968C (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US11372208P 2008-11-12 2008-11-12
US61/113,722 2008-11-12
US12/611,500 2009-11-03
US12/611,500 US8400164B2 (en) 2008-11-12 2009-11-03 Calibration and compensation for errors in position measurement

Publications (2)

Publication Number Publication Date
CA2685968A1 CA2685968A1 (fr) 2010-05-12
CA2685968C true CA2685968C (fr) 2018-05-15

Family

ID=41461081

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2685968A Expired - Fee Related CA2685968C (fr) 2008-11-12 2009-11-12 Etalonnage et compensation des erreurs de mesure de position

Country Status (8)

Country Link
US (1) US8400164B2 (fr)
EP (1) EP2186475B8 (fr)
JP (1) JP5566664B2 (fr)
CN (1) CN101912265B (fr)
AU (1) AU2009233782B2 (fr)
CA (1) CA2685968C (fr)
IL (1) IL202035A (fr)
RU (1) RU2531968C2 (fr)

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US7794407B2 (en) 2006-10-23 2010-09-14 Bard Access Systems, Inc. Method of locating the tip of a central venous catheter
WO2009070616A2 (fr) 2007-11-26 2009-06-04 C. R. Bard, Inc. Système intégré conçu pour placer un cathéter de manière intravasculaire
US9649048B2 (en) 2007-11-26 2017-05-16 C. R. Bard, Inc. Systems and methods for breaching a sterile field for intravascular placement of a catheter
US10751509B2 (en) 2007-11-26 2020-08-25 C. R. Bard, Inc. Iconic representations for guidance of an indwelling medical device
US9456766B2 (en) 2007-11-26 2016-10-04 C. R. Bard, Inc. Apparatus for use with needle insertion guidance system
US8781555B2 (en) 2007-11-26 2014-07-15 C. R. Bard, Inc. System for placement of a catheter including a signal-generating stylet
US9521961B2 (en) 2007-11-26 2016-12-20 C. R. Bard, Inc. Systems and methods for guiding a medical instrument
US10449330B2 (en) 2007-11-26 2019-10-22 C. R. Bard, Inc. Magnetic element-equipped needle assemblies
US10524691B2 (en) 2007-11-26 2020-01-07 C. R. Bard, Inc. Needle assembly including an aligned magnetic element
US8849382B2 (en) 2007-11-26 2014-09-30 C. R. Bard, Inc. Apparatus and display methods relating to intravascular placement of a catheter
US9901714B2 (en) 2008-08-22 2018-02-27 C. R. Bard, Inc. Catheter assembly including ECG sensor and magnetic assemblies
US8437833B2 (en) 2008-10-07 2013-05-07 Bard Access Systems, Inc. Percutaneous magnetic gastrostomy
JP5693471B2 (ja) 2009-02-11 2015-04-01 ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. 絶縁された切除カテーテルデバイスおよびその使用法
US9532724B2 (en) 2009-06-12 2017-01-03 Bard Access Systems, Inc. Apparatus and method for catheter navigation using endovascular energy mapping
WO2011019760A2 (fr) 2009-08-10 2011-02-17 Romedex International Srl Dispositifs et procédés pour électrographie endovasculaire
AU2010300677B2 (en) 2009-09-29 2014-09-04 C.R. Bard, Inc. Stylets for use with apparatus for intravascular placement of a catheter
EP2531098B1 (fr) 2010-02-02 2020-07-15 C.R. Bard, Inc. Appareil et procédé destinés à la navigation d'un cathéter et à la localisation d'une pointe
ES2864665T3 (es) 2010-05-28 2021-10-14 Bard Inc C R Aparato para su uso con sistema de guiado de inserción de aguja
BR112013002431B1 (pt) 2010-08-20 2021-06-29 C.R. Bard, Inc Sistema para a reconfirmação da posição de um cateter no interior de um paciente
CN103189009B (zh) * 2010-10-29 2016-09-07 C·R·巴德股份有限公司 医疗设备的生物阻抗辅助放置
US8560086B2 (en) 2010-12-02 2013-10-15 St. Jude Medical, Atrial Fibrillation Division, Inc. Catheter electrode assemblies and methods of construction therefor
KR20140051284A (ko) 2011-07-06 2014-04-30 씨. 알. 바드, 인크. 삽입 유도 시스템을 위한 바늘 길이 결정 및 교정
EP2755588B1 (fr) 2011-09-14 2016-05-18 Boston Scientific Scimed, Inc. Dispositif d'ablation équipé d'un ballonnet à conductivité ionique
WO2013106557A1 (fr) 2012-01-10 2013-07-18 Boston Scientific Scimed, Inc. Système d'électrophysiologie
FR2994820B1 (fr) * 2012-08-28 2014-08-29 Impeto Medical Syteme d'analyse electrophysiologique permettant la detection de courants de fuite
US9427167B2 (en) 2012-12-20 2016-08-30 Boston Scientific Scimed, Inc. Real-time feedback for electrode contact during mapping
WO2014149690A2 (fr) * 2013-03-15 2014-09-25 Boston Scientific Scimed, Inc. Dispositifs médicaux et méthodes de traitement de l'hypertension à l'aide d'une compensation d'impédance
US9629570B2 (en) * 2013-11-21 2017-04-25 Biosense Webster (Israel) Ltd. Tracking of catheter from insertion point to heart using impedance measurements
ES2811323T3 (es) 2014-02-06 2021-03-11 Bard Inc C R Sistemas para el guiado y la colocación de un dispositivo intravascular
US10524684B2 (en) 2014-10-13 2020-01-07 Boston Scientific Scimed Inc Tissue diagnosis and treatment using mini-electrodes
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EP3232969A1 (fr) 2014-12-18 2017-10-25 Boston Scientific Scimed Inc. Analyse de morphologie en temps réel pour évaluation de lésion
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US10285760B2 (en) 2015-02-04 2019-05-14 Queen's University At Kingston Methods and apparatus for improved electromagnetic tracking and localization
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US10945781B2 (en) * 2017-09-07 2021-03-16 Biosense Webster (Israel) Ltd. Variable phase generation and detection for radio-frequency (RF) ablation
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CN216221635U (zh) * 2021-06-04 2022-04-08 上海睿刀医疗科技有限公司 一种用于自动监测及调整消融参数的复合陡脉冲治疗设备

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Also Published As

Publication number Publication date
RU2531968C2 (ru) 2014-10-27
CN101912265A (zh) 2010-12-15
IL202035A (en) 2016-04-21
EP2186475B8 (fr) 2020-08-05
AU2009233782A1 (en) 2010-05-27
CA2685968A1 (fr) 2010-05-12
RU2009141794A (ru) 2011-05-20
EP2186475B1 (fr) 2020-04-08
EP2186475A1 (fr) 2010-05-19
US20100117659A1 (en) 2010-05-13
US8400164B2 (en) 2013-03-19
CN101912265B (zh) 2014-10-22
JP5566664B2 (ja) 2014-08-06
AU2009233782B2 (en) 2014-09-18
JP2010115491A (ja) 2010-05-27
IL202035A0 (en) 2010-06-16

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EEER Examination request

Effective date: 20141106

MKLA Lapsed

Effective date: 20201112